ANALYSIS OF THE IMPLEMENTATION OF ELECTRONIC MEDICAL RECORDS IN THE INPATIENT ROOM OF DR. R. HARDJANTO HOSPITAL, BALIKPAPAN
DOI:
10.54443/morfai.v5i3.3937Published:
2025-08-31Downloads
Abstract
Background: The implementation of Electronic Medical Records (EMR) at Dr. R. Hardjanto Hospital, Balikpapan aims to improve the effectiveness and quality of services. This study uses a qualitative approach with a case study, analyzing the implementation of EMR through the 5M framework: Man, Machine, Method, Money, Material. Method: Qualitative research with a case study approach was conducted in the inpatient ward. Data were collected through in-depth interviews with 16 key informants, direct observation, and documentation. Data analysis used Nvivo 15 software with data reduction, data presentation, and conclusion drawing techniques. Data validity was guaranteed through triangulation of sources and techniques . Results: The implementation of EMR has increased work efficiency and operational cost savings. However, there are still significant obstacles: (1) human resources are not fully competent, (2) network infrastructure is slow and unstable, (3) SOPs have not been fully implemented, (4) dualism of manual and electronic systems, and (5) budget limitations for device maintenance. Conclusion: The implementation of EMR provides positive benefits, but requires infrastructure improvements, intensive training, SOP revisions, and budget increases.
Keywords:
Electronic Medical Records Implementation 5MReferences
Adiputra, IMS, Trisnadewi, NW, Oktaviani, NPW, & Munthe, SA (2021). Health Research Methodology.
Adisasmito, Wiku. Suryanegara, SW, Studi, P., Administrasi, K., Sakit, R., Pascasarjana, P., Masyarakat, FK, Indonesia, U., Masyarakat, FK, & Indonesia, U. (2007). Analysis Of The Relationship Of Organizational Culture And Leadership. 10(02), 79–84.
Amin, M., Setyonugroho, W., Hidayah, N., (2021). Implementation of Electronic Medical Records: A Qualitative Study. Journal of Informatics Engineering and Information Systems, 8(1), 430–442. https://doi.org/10.35957/jatisi.v8i1.557
Andika, AKN (2025). Analysis of Electronic Medical Record Implementation in the Inpatient Installation at Gunung Maria Hospital, Tomohon. Jurnal Promotifcegah, 8, 337–346.
Ariani, S. (2023). Analysis of the Success of Electronic Medical Records Implementation in Improving Efficiency and Quality of Service. Journal of Health and Medicine, 2(2), 7–14. https://doi.org/10.56127/jukeke.v2i2.720
Arnovita, DK, Purwanda, E., & Yuliaty. (2024). The role of electronic medical records usage on waiting times and its impact on patient satisfaction. NUSRA: Journal of Research and Educational Sciences, 5(4), 1695–1709. https://doi.org/10.55681/nusra.v5i4.3433
Cahyaharnita, RA (2020). Synchronization of Electronic Medical Record Implementation Guidelines in National E-Health Strategies. Soepra, 5(2), 209. https://doi.org/10.24167/shk.v5i2.2430
Creswell, J. W. (2018). A Mixed-Method Approach. In Writing Center Talk over Time. https://doi.org/10.4324/9780429469237-3
Cosa, M. (2024). Business digital transformation: Strategy adaptation, communication and future agenda. Journal of Strategy and Management, 17(2), 244–259. https://doi.org/10.1108/JSMA-09-2023-0233
Dr. Rano Indradi, MK (2014). History of Development, Basic Understanding of Medical Records, and PORMIKI. History of Development, Basic Understanding of Medical Records, and PORMIKI, 1–95.
Ervina R, Atma D, SP (2020). Evaluation of the Medical Record Numbering System Using the Focus PDCA Method at Sanglah General Hospital. J- REMI: Journal of Medical Records and Health Information, 1(3), 347–356. https://doi.org/10.25047/j-remi.v1i3.2095
Goni, A., Pertiwi, J.M., & Wariki, W. (2025). Analysis of Barriers to the Implementation of Electronic Medical Records in the Outpatient Clinic of Gunung Maria Hospital, Tomohon. Pancasakti Journal of Public Health Science and Research, 5(2), 231–237. https://doi.org/10.47650/pjphsr.v5i2.1908
Graham Gibbs. (2018). Analyzing Qualitative (Vol. 2). https://api.pageplace.de/preview/DT0400.9781526426130_A34526518/preview-9781526426130_A34526518.pdf
Guba, E.G., & Lincoln, Y.S. (2005). Paradigmatic Controversies, Contradictions, and Emerging Confluences in In NK Denzin & YS Lincoln (Eds.). The Sage Handbook of Qualitative Research, 191–215.
Handiwidjojo, W. (2019). The Development of Electronic Medical Records Technology in Hospitals. Duta Wacana Christian University Yogyakarta, 2(1), 36–41. https://media.neliti.com/media/publications/79132-ID-rekam-medis-elektronik.pdf
Heizer, J., Render, B., Kurnia, PH, Saraswati, R., & Wijaya, D. (2014). Operational Management. https://api.penerbitsalemba.com/book/books/02-0302/contents/fa886746-1ad1-4564-8b5f-405f1fa038f4.pdf
Hemming, K., Taljaard, M., & Forbes, A. (2021). Analysis of cluster randomized stepped wedge trials with repeated cross-sectional samples. Trials, 18(1). https://doi.org/10.1186/s13063-017-1833-7
Hossain, MK, Sutanto, J., Handayani, PW, Haryanto, AA, Bhowmik, J., & Frings-Hessami, V. (2025). An exploratory study of electronic medical record implementation and recordkeeping culture: the case of hospitals in Indonesia. BMC Health Services Research, 25(1). https://doi.org/10.1186/s12913-025-12399-0
Izza, A. Al, & Lailiyah, S. (2024). Literature Review: Overview of Electronic Medical Records Implementation in Indonesian Hospitals Based on Minister of Health Regulation Number 24 of 2022 concerning Medical Records. Media Gizi Kesmas, 13(1), 549–562. https://doi.org/10.20473/mgk.v13i1.2024.549-562
Ministry of Health of the Republic of Indonesia. (2020). Regulation of the Minister of Health Number 30 of 2020 concerning Hospital Classification and Licensing. 3, 1–80.
Kesuma, SI (2023). Electronic Medical Records in Hospital Services in Indonesia: Legal Aspects and Implementation. ALADALAH: Journal of Politics, Social, Law and Humanities, 1(1), 195–205.
Laila, MIK, Pribadi, MSW, Ariyanto, OS, & ... (2024). Inhibiting Factors in the Implementation of Electronic Medical Records in Hospitals: A Narrative Review. Health Information, 65–71. https://doi.org/10.33560/jmiki.v12i1.645
Mennemeyer, S.T., Menachemi, N., Rahurkar, S., & Ford, E.W. (2016). Impact of the HITECH act on physicians' adoption of electronic health records. Journal of the American Medical Informatics Association, 23(2), 375–379. https://doi.org/10.1093/jamia/ocv103
Miles & Huberman. (2020). Qualitative Data Analysis. In SAGE (Vol. 3, Issue 1). https://www.metodos.work/wp-content/uploads/2024/01/Qualitative-Data-Analysis.pdf
Miles, H. & S. (2014). Qualitative Data Analysis A Method Sourcebook (Vol. 3). http://www.theculturelab.umd.edu/uploads/1/4/2/2/14225661/miles-huberman-saldana-designing-matrix-and-network-displays.pdf
Mirza, N. (2025). Optimizing the Role of Hospital Administration in Improving the Quality of Health Services Najwa Mirza Hospital ' 1 . docx HEALTH. March.
Mishbahuddin. (2020). Improving Hospital Health Service Management. In Yogyakarta: Ladder of Knowledge (Issue November 2020). https://www.researchgate.net/publication/346916010_Meningkatkan_Manajemen_Pelayanan_Kesehatan_Rumah_Sakit
Mohammad Fajar Mukharram, Dewanti Putri Nurita, & Vip Paramarta. (2024). Implementation of Electronic Medical Records in Hospitals. Journal of Social and Economics Research, 6(1), 966–973. https://doi.org/10.54783/jser.v6i1.471
Monteiro, A.P., Vale, J.A.M., Leite, E., Lis, M., & Kurowska-Pysz, J. (2022). The impact of information systems and non-financial information on company success. International Journal of Accounting Information Systems, 45, Article 100557. https://doi.org/10.1016/j.accinf.2022.100557
Mulyani Susi, AM (2023). Business Management Business Management. Indonesian Journal of Advanced Research (IJAR), 2(12), 1653–1662.
Mutiara, Achmad Benny, Muslim, A, Oswari, T. (2014). Testing the Implementation of an Electronic Medical Records Website. Proceedings of the National Scientific Seminar on Computers and Intelligence Systems, 8 (October), 1–7. https://doi.org/10.13140/RG.2.1.1159.5286
Neuman, W. L. (2014). Social Research Methods: Qualitative and Quantitative Approaches. In Teaching Sociology (7th ed., Vol. 30, Issue 3). https://doi.org/10.2307/3211488
Regulation of the Minister of Health No. 24 of 2022. (2022). Regulation of the Minister of Health of the Republic of Indonesia No. 24 of 2022 concerning Medical Records. Regulation of the Minister of Health of the Republic of Indonesia Number 24 of 2022, 151(2), 1–19.
Pratiwi, IA, Ardianto, ET, Deharja, A., & Muflihatin, I. (2022). Analysis of the Causes of Incomplete Informed Form Completion. Journal of Medical Records and Health Information, 3(3), 203–213.
Risnawati, R., & Purwaningsih, E. (2024). Analysis of Barriers to the Implementation of Electronic Medical Records at the Karang Asam Community Health Center, Samarinda. Indonesian Journal of Community Service, 5(2), 1603–1608. https://doi.org/10.55338/jpkmn.v5i2.3053
Riyanti, R., Arfan, A., & Zuana, E. (2023). Analysis of readiness for implementing electronic medical records: A qualitative study. Holistic Health Journal, 17(6), 507–521. https://doi.org/10.33024/hjk.v17i6.12867
Robbins & Judge. (2013). Organizational Behavior. In Pearson (Vol. 15, Issue 1). https://digilib.stekom.ac.id/assets/document/ebook/feb_c5d15cc7c32d4985a70c200bad26dc576781601d_1648649445.pdf.
Robbins, S. P., & Coulter, M. (2022). Management - A Classic Approach. In Journal of Advanced Management Science (Vol. 53, Issue 9).
Robbins, S. P., Coulter, M., Coulter, M. K., & Randel, A. (2022). Management. Pearson. https://books.google.co.id/books?id=RqpPzQEACAAJ
Ruth M. Tappen, EdD, RN, F. (2019). Essentials of Nursing Leadership and Management. In Sustainability (Switzerland) (Vol. 11, Issue 1, pp. 1–14). http://scioteca.caf.com/bitstream/handle/123456789/1091/RED2017-Eng-8ene.pdf?sequence=12&isAllowed=y%0Ahttp://dx.doi.org/10.1016/j.regsciurbeco.2008.06.005%0A
Setyawan, DA (2017). MK Handout. Electronic Medical Record (RME) Health Information System. Diploma IV Midwifery Study Program, Midwifery Department, Surakarta Health Polytechnic, 5–6.
Silver, C., & Lewins, A. (2014). Using Software in Qualitative Research: A Step-by-Step Guide. In Using Software in Qualitative Research: A Step-by-Step Guide. https://doi.org/10.4135/9781473906907
Sudirman, R. (2022). Marketing Strategy Management (1st ed.). Widina.
Sugiyono, DP (2021). Communication Research Methods (Quantitative, Qualitative, and Easy Ways to Write Articles in National and International Journals). In MS Prof. Dr. Sunarto (Ed.), Alfabeta (1st ed., Vol. 1, Issue 3).
Supriadi, A., Kusumaningsih, A., Kohar, Priadi, A., Yusniar Mendo, A., L. Asi, L., Podungge, R., Amelia Nuryadin, A., Hakri Bokingo, A., & Utami, F. (2022). Human Resource Management. In Kunststoffe International (Vol. 106, Issue 1).
Wahyuni, Yusak Tapat Keding, FA (2022). Electronic Medical Record Documentation During Patient Discharge Waiting Time: Structure Equation Model (SEM). Jurnal Health Sains, 3(1), 1–12.
Widodo Pangestu, Purbayanti Aditya, Yulianto Ari, RM (2024). Review of Medical Recorders' Behavior Towards Medical Record File Security. Babul Ilmi_Jurnal Ilmiah Multi Science Kesehatan, 16(1).
Zulhirsan, L., & Aini, Q. (2025). Human Resources Strategy in The Implementation of Electronic Medical Records in Hospitals: Literature Review. 11(4), 11–20. https://doi.org/10.29303/jppipa.v11i4.10796
License
Copyright (c) 2025 Tetty Hutagaol, Vip Paramarta, Ayu Laili Rahmiyati
This work is licensed under a Creative Commons Attribution 4.0 International License.
Downloads
How to Cite
